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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Traumatology and Orthopedics of Russia</journal-id><journal-title-group><journal-title xml:lang="en">Traumatology and Orthopedics of Russia</journal-title><trans-title-group xml:lang="ru"><trans-title>Травматология и ортопедия России</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2311-2905</issn><issn publication-format="electronic">2542-0933</issn><publisher><publisher-name xml:lang="en">Vreden National Medical Research Center of Traumatology and Orthopedics</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1694</article-id><article-id pub-id-type="doi">10.21823/2311-2905-1694</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>CLINICAL STUDIES</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЕ ИССЛЕДОВАНИЯ</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="zh"><subject>Clinical studies</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Features and Results of Knee Arthroplasty after Knee Fractures Fixation</article-title><trans-title-group xml:lang="ru"><trans-title>Особенности и результаты эндопротезирования коленного сустава после остеосинтеза внутрисуставных переломов</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3392-1853</contrib-id><name-alternatives><name xml:lang="en"><surname>Rasulov</surname><given-names>Magomed Sh.</given-names></name><name xml:lang="ru"><surname>Расулов</surname><given-names>Магомед Шамилович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>аспирант, врач травматолог-ортопед</p></bio><email>magomed93r@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3175-4756</contrib-id><name-alternatives><name xml:lang="en"><surname>Kulyaba</surname><given-names>Taras A.</given-names></name><name xml:lang="ru"><surname>Куляба</surname><given-names>Тарас Андреевич</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Dr. Sci. (Med.)</p></bio><bio xml:lang="ru"><p>д-р мед. наук, заведующий научным отделением патологии коленного сустава</p></bio><email>taraskuliaba@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6905-7900</contrib-id><name-alternatives><name xml:lang="en"><surname>Kornilov</surname><given-names>Nikolai N.</given-names></name><name xml:lang="ru"><surname>Корнилов</surname><given-names>Николай Николаевич</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Dr. Sci. (Med.)</p></bio><bio xml:lang="ru"><p>д-р мед. наук, профессор кафедры травматологии и ортопедии, ведущий научный сотрудник отделения патологии коленного сустава</p></bio><email>drkornilov@hotmail.com</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9223-6330</contrib-id><name-alternatives><name xml:lang="en"><surname>Saraev</surname><given-names>Alexander V.</given-names></name><name xml:lang="ru"><surname>Сараев</surname><given-names>Александр Викторович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Cand. Sci. (Med.)</p></bio><bio xml:lang="ru"><p>канд. мед. наук, врач травматолог-ортопед, младший научный сотрудник отделения патологии коленного сустава</p></bio><email>saraefff@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2403-6521</contrib-id><name-alternatives><name xml:lang="en"><surname>Petukhov</surname><given-names>Aleksey I.</given-names></name><name xml:lang="ru"><surname>Петухов</surname><given-names>Алексей Иванович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Cand. Sci (Med.), Orthopedic Surgeon, Researcher, Knee Pathology Department</p></bio><bio xml:lang="ru"><p>канд. мед. наук, заведующий травматолого-ортопедическим отделением</p></bio><email>drpetukhov@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7291-7032</contrib-id><name-alternatives><name xml:lang="en"><surname>Bantser</surname><given-names>Sergey A.</given-names></name><name xml:lang="ru"><surname>Банцер</surname><given-names>Сергей Александрович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Cand. Sci. (Med.)</p></bio><bio xml:lang="ru"><p>канд. мед. наук, врач травматолог-ортопед, преподаватель кафедры травматологии и ортопедии</p></bio><email>serg249_spb@mail.ru</email><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3600-3583</contrib-id><name-alternatives><name xml:lang="en"><surname>Petlenko</surname><given-names>Irina S.</given-names></name><name xml:lang="ru"><surname>Петленко</surname><given-names>Ирина Сергеевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="ru"><p>клинический ординатор</p></bio><email>petlenko1995@yandex.ru</email><xref ref-type="aff" rid="aff3"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Vreden National Medical Research Center of Traumatology and Orthopedics</institution></aff><aff><institution xml:lang="ru">ФГБУ «Национальный медицинский исследовательский центр травматологии и ортопедии им. Р.Р. Вредена» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">Mechnikov North-Western State Medical University</institution></aff><aff><institution xml:lang="ru">ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">Vreden National Medical Research Center of Traumatology and Orthopedics</institution></aff><aff><institution xml:lang="ru">ФГБУ "Национальный медицинский исследовательский центр травматологии и ортопедии им. Р.Р. Вредена" Минздрава России</institution></aff></aff-alternatives><pub-date date-type="preprint" iso-8601-date="2021-12-15" publication-format="electronic"><day>15</day><month>12</month><year>2021</year></pub-date><pub-date date-type="pub" iso-8601-date="2021-12-29" publication-format="electronic"><day>29</day><month>12</month><year>2021</year></pub-date><volume>27</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>9</fpage><lpage>20</lpage><history><date date-type="received" iso-8601-date="2021-10-27"><day>27</day><month>10</month><year>2021</year></date><date date-type="accepted" iso-8601-date="2021-12-06"><day>06</day><month>12</month><year>2021</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2021, Rasulov M.S., Kulyaba T.A., Kornilov N.N., Saraev A.V., Petukhov A.I., Bantser S.A., Petlenko I.S.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2021, Расулов М.Ш., Куляба Т.А., Корнилов Н.Н., Сараев А.В., Петухов А.И., Банцер С.А., Петленко И.С.</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="en">Rasulov M.S., Kulyaba T.A., Kornilov N.N., Saraev A.V., Petukhov A.I., Bantser S.A., Petlenko I.S.</copyright-holder><copyright-holder xml:lang="ru">Расулов М.Ш., Куляба Т.А., Корнилов Н.Н., Сараев А.В., Петухов А.И., Банцер С.А., Петленко И.С.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://journal.rniito.org/jour/article/view/1694">https://journal.rniito.org/jour/article/view/1694</self-uri><abstract xml:lang="en"><p><bold><italic>The purpose of the study</italic></bold> — to assess the results and risk of complications of primary total knee arthroplasty in patients with a history of osteosynthesis of intra-articular fractures.</p> <p><bold><italic>Methods:</italic></bold> Our study integrates the retrospective and prospective analysis of the results of primary total knee arthroplasty (TKA) performed in 140 patients, in period from 2015 to 2019. The retrospective part of the study included the arthroplasty results of 100 patients, prospective — 40 patients. Each of the groups was divided into 2 subgroups: with previous osteosynthesis (OS) of intra-articular fractures before arthroplasty and without history of knee surgery before arthroplasty. To assess the results of TKA, adapted to Russian-language versions of the KSS, WOMAC and FJS-12 scales were used. The X-ray of the endoprosthesis components positioning was assessed using the KRESS scale.</p> <p><bold><italic>Results: </italic></bold>Statistically significant differences were found between retrospective groups with OS and without it in the duration of the surgery, in the volume of intraoperative blood loss, in the higher frequency for implantation of the endoprosthesis systems with an increased degree of coupling of the components. The rate of postoperative complications was higher in retrospective group OS. Mid-term functional results did not show statistically significant differences on the KSS and WOMAC scales, patient satisfaction rates on the FJS-12 scale were worse in retrospective group OS. Prospective group of patients with a history of OS for intraarticular fractures demonstrated statistically significant increase of the knee ROM from 89° to 108°, after the TKA. The function recovery dynamics according to the KSS, WOMAC and FJS-12 was slowed down at 3 and 6 months, and according to the WOMAC and FJS-12 scales, even after 12 months post-operation.</p> <p><bold><italic>Conclusions: </italic></bold>The previous trauma and knee intra-articular fractures fixation leads to an earlier development of post-traumatic osteoarthritis. Functional results in the retrospective and prospective groups do not have statistically significant differences. The number of postoperative complications is greater in the retrospective groups. OS in the history statistically significantly slows down the dynamics of function recovery in the early postoperative period.</p></abstract><trans-abstract xml:lang="ru"><p><bold><italic>Цель исследования</italic></bold> — оценить результаты и риск развития осложнений первичного тотального эндопротезирования коленного сустава у пациентов с остеосинтезом внутрисуставных переломов в анамнезе. <bold><italic>Материал и методы. </italic></bold>Проведенное исследование интегрирует в себе ретроспективный и проспективный анализ результатов первичного тотального эндопротезирования коленного сустава (ТЭКС), выполненного у 140 пациентов в период с 2015 по 2019 г. Ретроспективная часть исследования включала результаты артропластики, выполненной у 100 пациентов, проспективная — у 40. Каждая из этих групп подразделялась на 2 подгруппы: с предшествующим металлоостеосинтезом (МОС) внутрисуставных переломов перед эндопротезированием и без оперативных вмешательств на коленном суставе до артропластики. Для оценки результатов ТЭКС использованы адаптированные русскоязычные версии шкал KSS, WOMAC и FJS-12, рентгенологическое положение компонентов эндопротеза оценивали по шкале KRESS. <bold><italic>Результаты. </italic></bold>Выявлены статистически значимые различия в следующих показателях между ретроспективными группами с наличием МОС в анамнезе и без него: длительность операции, объем интраоперационной кровопотери, необходимость в имплантации конструкций с повышенной степенью связанности компонентов эндопротеза. Частота послеоперационных осложнений была больше в группе МОС. Среднесрочные функциональные результаты по шкалам KSS и WOMAC не имели статистически значимых различий, показатели удовлетворенности пациентов по шкале FJS-12 были хуже в группе МОС. У пациентов проспективной подгруппы с наличием в анамнезе МОС по поводу внутрисуставных переломов выполнение ТЭКС позволило увеличить амплитуду движений в коленном суставе с 89° до 108°, то есть на 19º. Динамика восстановления функции по шкалам KSS, WOMAC и FJS-12 была замедленной на сроках 3 и 6 мес., а по шкалам WOMAC и FJS-12 также и через 12 мес. после операции. <bold><italic>Заключение.</italic></bold> Внутрисуставные переломы коленного сустава и их остеосинтез приводят к более раннему развитию посттравматического артроза. МОС в анамнезе статистически значимо замедляет динамику восстановления функции в раннем послеоперационном периоде. Среднесрочные функциональные результаты не имеют статистически значимых отличий между группами. Количество послеоперационных осложнений больше в группе пациентов с МОС в анамнезе.</p></trans-abstract><kwd-group xml:lang="en"><kwd>knee posttraumatic osteoarthritis</kwd><kwd>knee arthroplasty</kwd><kwd>knee intra-articular fractures</kwd><kwd>knee fracture fixation</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>посттравматический артроз коленного сустава</kwd><kwd>эндопротезирование коленного сустава</kwd><kwd>внутрисуставные переломы костей коленного сустава</kwd><kwd>металлоостеосинтез</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution xml:lang="ru">Государственное бюджетное финансирование</institution></institution-wrap><institution-wrap><institution xml:lang="en">State budget financing</institution></institution-wrap></funding-source></award-group></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">Зубрицкий В.Ф., Козлов Ю.А. 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